East Bay Paws
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Dog Boarding / Day Care Client Agreement Form
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Owner Information
Name(s):
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Address:
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Street Address
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City
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Zip Code
Phone Numbers:
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Home Phone
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Work_phone
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Cell Phone
Email:
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Emergency Contact(s):
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Vet Information:
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Dog Information Sheet
Dog's Name:
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Age:
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Breed:
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Color/Markings:
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Sex:
Male:
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Female:
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Neutered / Spayed:
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Yes
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No
Rabies Tag Number:
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Date rabies shot expires:
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Boarding Dates:
From
To
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Feeding:
What kind of food(s) does your dog eat?
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When does your dog eat?
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Special feeding instructions:
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Medication:
Is your dog on any medications that must be administered? If yes, please describe the medication procedures, including name and dosage.
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Other:
Does your dog have a favorite game?
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Does your dog
have favorite hiding places?
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Does your dog need a special harness or choke collar for walks?
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Traits
:
Please answer the following brief questionnaire about your dog. It will help us to better care for him/her.
Is friendly with other dogs?
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Yes
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No
Likes new adults?
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Yes
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No
Likes children?
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Yes
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No
Must stay on leash during walks?
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Yes
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No
Is allowed in house
?
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Yes
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No
Is allowed to have treats?
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Yes
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No
Is prone to digging?
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Yes
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No
Is prone to chewing?
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Yes
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No
Is fearful of noise or other things?
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Yes
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No
Obeys basic command?
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Yes
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No
Has bitten people or other dogs?
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yes
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No
Has shown other aggression?
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Yes
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No
Please indicate anything else about your dog's habits or
behavior that would be useful to us in providing better care:
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PLEASE NOTE:
Please make sure to read our
Policy Statemen
t
for more information. Dog(s) must be picked
up at the same time they were dropped off. If for some reason you will be late picking him/her
up, please give us a call. We do charge $10 for every hour missed.
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I agree that I have requested that East Bay Paws take care of my pet. I agree to
pay the charges accrued for the services provided. Payment is due upon first day
of drop off. We do accept personal checks, cash and PayPal for credit cards.
Date:
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